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Utah
Medicaid Provider Manual
Table of Contents
WELCOME
Explains purpose of the Utah Medicaid
Provider Manual and its intended audience.
SECTION
1: GENERAL INFORMATION
SECTION 1 of the Utah Medicaid Provider
Manual contains policy, procedures, codes and billing instructions
which apply to all health care providers enrolled in the Utah Medicaid
Program.
SECTION
2: PROVIDER SPECIFIC INFORMATION
This
section of the Utah Medicaid Provider Manual has policy,
procedures, codes and billing instructions specific to a health
care service covered by the Utah Medicaid Program. You can download
any of the manuals and code lists.
View list.
NON-TRADITIONAL
MEDICAID PLAN
A section covering the Non-Traditional Medicaid Plan is included
with selected Medicaid Manuals. This section is included if the
type of service is covered by the Non-Traditional Medicaid Plan.
The list of Medicaid Manuals by provider
type has a column to show which manuals include the Non-Traditional
Medicaid Plan
GENERAL
ATTACHMENTS FOR ALL PROVIDER MANUALS
Documents, forms and instructions
in the GENERAL ATTACHMENTS section of the Utah Medicaid Provider
Manual are in the list below. Forms and code lists for a type
of service are on the Provider-Specific
list.
<
Access
Now Instructions/Fax Numbers
<
Guide to Medical Interpretive Services
<
CMS -1500 Instructions
< Coordination of Benefits
< Managed Care
Plan List (MCPs and PMHPs)
< Medicaid Identification
Cards
< Medicaid
Information Line Menu
< Telephone
Menu Options
<
Publication
Request Form
< Prior
Authorization Request Form Instructions
<
Request
for Hearing Form
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